Provider Demographics
NPI:1992537260
Name:QUAIDOO, ESI (MPHIL, RDN, LDN)
Entity type:Individual
Prefix:
First Name:ESI
Middle Name:
Last Name:QUAIDOO
Suffix:
Gender:F
Credentials:MPHIL, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HOLDSWORTH WAY
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01003-9282
Mailing Address - Country:US
Mailing Address - Phone:413-557-4547
Mailing Address - Fax:
Practice Address - Street 1:100 HOLDSWORTH WAY
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01003-9282
Practice Address - Country:US
Practice Address - Phone:413-557-4547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN7699133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered